Mall Services, LLC
NPI #1063659340 in Jackson, Mississippi
Provider Information
- NPI Number
- 1063659340
- Entity Type
- Organization
- Organization Name
- Mall Services, LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jan 8, 2009
- Last Updated
- Jan 8, 2009
Practice Location
- Address
- 809 N STATE ST
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39202-2604
- Phone
- (601) 982-0673
Authorized Official
- Name
- MRS. CHRISTAL ROGERS, LPN
- Title
- OFFICE ASSISTANT
- Phone
- (601) 982-0673
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
| Nurse Practitioner - Family — Family |
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